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      <td width="38%" align="center"><strong><font size="2">#UBND#<br>
#PQLDT#<br>
        ---oOo---</font></strong></td>
      <td width="62%"  align="center"><font size="2"><strong>#CHXH#<br>
#DLTD#<br>
#END#</strong></font></td>
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      <td width="41%" align="center">Số: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/QLĐT</td>
      <td width="59%" align="center"><i>TP. Vũng Tàu, #INFORM_DATE#</i></td>
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  <td colspan="2" align="center"><b><font face="Times New Roman" size="5">PHIẾU TRÌNH KÝ</font></b></td>
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  <td colspan="2" align="center"><strong>Mã hồ sơ: </strong><em>#RECORD_CODE#</em></td>
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  <td colspan="2" align="justify">&nbsp;&nbsp;&nbsp;&nbsp;Phòng thụ lý  đã hoàn tất việc thẩm định hồ sơ <br>
    <b> &nbsp;&nbsp;&nbsp;&nbsp;Kính trình lãnh đạo phòng ban xem xét, ký duyệt cho         hồ sơ sau:</b><br>
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      <td width="97%" colspan="2" valign="top"><strong>- Họ và tên chủ đầu tư</strong>:  #INVESTOR_NAME#</td>
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      <td colspan="2" valign="top"><strong>- Địa điểm xây dựng:</strong> <span class="style15"> <span
  style='font-family:"Times New Roman"'><font FACE="Times New Roman">#land_house_number#</font></span></span> <span class="style15"
  style='font-family:&quot;Times New Roman&quot;'><font FACE="Times New Roman">đường #land_street#,</font></span> <span class="style15"
  style='font-family:&quot;Times New Roman&quot;'><font FACE="Times New Roman">#land_town#, thành phố #land_district#
              <o:p> </o:p>
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  style='font-family:"Times New Roman"'><span style="line-height:150%;tab-stops:2.0in"> <font FACE="Times New Roman">&nbsp;</font></span></span></strong></td>
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      <td colspan="2" valign="top"><strong>- Địa chỉ thường trú: </strong><span class="style15"
  style='font-family:&quot;Times New Roman&quot;'><font FACE="Times New Roman">#INVESTOR_HOUSE_NUMBER# đường #INVESTOR_STREET#,</font></span> <span class="style15"
  style='font-family:&quot;Times New Roman&quot;'><font FACE="Times New Roman"><font FACE="Times New Roman">phường/xã</font> #INVESTOR_TOWN#, thành phố #INVESTOR_DISTRICT#
                <o:p> </o:p>
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  style='font-family:"Times New Roman"'>      <font FACE="Times New Roman">&nbsp;</font><font FACE="Times New Roman"></font></span></strong></span></td>
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      <td colspan="2" valign="top"><strong>- Loại hồ sơ:</strong>   #RECORDTYPE#</td>
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  <strong><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</b>- Hồ sơ gồm có:</strong> </td>
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      <td width="765"> <em>#INCLUDE_DOCUMENT#
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  <td colspan="2"><strong><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</b>- Giấy tờ khác:</strong></td>
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      <td width="765"><em>#DOC_ANOTHER# </em></td>
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  <td colspan="2">&nbsp;&nbsp;&nbsp;&nbsp;<strong>Ý kiến của cán bộ thụ lý:</strong></td>
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  <td width="625" style=' border-bottom: 1.0pt dashed windowtext'>- Về thủ tục:</td>
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  <td width="625" style=' border-bottom: 1.0pt dashed windowtext'>- Kết quả điều tra tại hiện trường:</td>
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  <td width="625" style=' border-bottom: 1.0pt dashed windowtext'>-  Đề nghị cấp giấy phép:</td>
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      <td align="center"><span class="style13">CÁN BỘ THỤ LÝ </span></td>
      <td align="center"><span class="style13">#PQLDT#</span></td>
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